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PubMed1979

Physiological effects of a military training program on male and female cadets.

Tested at the beginning and the end of the 6-week training program which all incoming cadets (plebes) undergo upon entering the U.S. Military Academy were 29 males and 26 females (17-21 years old). The aerobic training consisted of running for 30 min 5-6 d/week at varied speeds depending upon performance in an initial 1.5-mile run test. Females responded to training with a significant increase (p is less than 0.001) in VO2 max from 46.0 +/- 1.0 to 49.7 +/- 0.8 ml/kg.min (7.9%). Males did not increase their initial VO2 max (59.4 +/- 1.1 ml/kg.min) significantly. Both groups significantly reduced HRmax and percent body fat. Their initial VO2 max values and activity history accounted for the lack of a significant increase in this highly-fit population of males. Blood lactates were significantly decreased (p is less than 0.05) at the same two submaximal workloads after training. The initial difference in aerobic power between males and females was reduced from 22% to 18%.

Adolescent↗
PubMed1984

The effect of a 20-week endurance training program on adipose-tissue morphology and lipolysis in men and women.

In order to assess the effect of endurance training on adipose-tissue morphology and lipolysis, 22 adult subjects (11 men and 11 women) took part in a 20-week ergocycle training program, four to five days a week, 40 minutes a day, at 80% of their maximal heart rate. Before and after training, they were submitted to an adipose-tissue biopsy in the suprailiac region. Fat cell weight (FCW), and lipolytic activity were determined on isolated fat cells. For the whole sample, training significantly reduced FCW (pre: 0.40 +/- 0.13 (mean +/- SD) versus post: 0.36 +/- 0.13 micrograms; P less than 0.05), percentage of fat (pre: 22.0 +/- 8.3 versus post: 19.7 +/- 8.1%; P less than 0.05), and increased adipocyte epinephrine maximal stimulated lipolysis (ESL) (pre: 1.08 +/- 0.49 versus post: 1.69 +/- 0.67 mumol glycerol/30 min/10(6) cells; P less than 0.001). No changes were observed in fat cell number. In women, however, training induced no changes in the fatness indicators (% fat, sum of skinfolds, FCW). The exercise program significantly lowered the adiposity of men (% fat: P less than 0.001; sum of skinfolds: P less than 0.01; FCW: P less than 0.05). In both sexes, a significant increase in ESL was observed after training. ESL of men, however, responded better than that of women to training (ESL of women: 1.36 +/- 0.67 versus ESL of men: 2.02 +/- 0.50 mumol glycerol/30 min/10(6) cells; P less than 0.05), with increases over pre-training values of 46% and 66% in women and men, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗
PubMedDate not supplied

Training in environmental health research for action: the Shanghai-California Environmental Health Training Program.

The Shanghai Center for Disease Control and Prevention (SCDC) was created in 1998; in 2001, with support from Fogarty International Center, the intergovernmental Shanghai-California Environmental Health Training Program was formed. Providing U.S.-based training to SCDC managers allows them to return to Shanghai and share their knowledge. Indexing Chinese journals will enable more exchange of information and will support improvements in Chinese scholarship. Increased international contact will result in greater trust and more rapid warnings to international colleagues, with resultant faster responses to emerging public health threats. Building research capacity in SCDC will allow for more rapid translation of results to policy. The progress of the Program toward establishing a regional (Shanghai) biological specimen bank is an example of building institutional capacity to enhance research that can serve as a lasting foundation for public health research and policy decisions in both Shanghai and China.

California↗
PubMed1996

Overcoming barriers to evaluating federal health education and training programs.

The effectiveness of federal programs is often difficult to measure because many are authorized to support a broad range of objectives without common outcome goals, measures, and reporting requirements. When direct program evaluation is not possible, it may be possible instead to evaluate how well the strategies that federal programs support have worked to achieve certain objectives. This alternative to direct program evaluation was demonstrated in a General Accounting Office review of federal health professions education and training programs within Titles 7 and 8 of the Public Health Service Act.

Financing, Government↗
PubMed1999

A reattributional training program as a therapeutic strategy for fear of flying.

In this study the results for the validation of a reattributional training program applied to the fear of flying are presented. The program is made up of 13 (+/- 1) sessions and consists of three phases: Information; reattributional training; and the elaboration and application of the treatment designed by the patient with the help of the therapist. The program was applied to 24 patients while 24 other patients made up the waiting control group. The therapeutic success was evaluated by means of self-report scales, and by recording psychophysiological variables in a situation in which subjects viewed a video tape of a flight. Significant differences were obtained from the ANOVAs between experimental and control groups in all of the self-reported variables (p < 0.001) and in some of the psychophysiological variables (p < 0.05). The results support the effectiveness of the program.

Adult↗
PubMed1993

Strategic issues for the successful merger of residency training programs.

Retrenchment in federal financing, more stringent residency accreditation standards, fewer psychiatric residents, and other factors are putting increased pressure on psychiatric residency training programs to collaborate with or even merge with other residency programs. To improve the likelihood that a collaboration or merger of psychiatric residencies will work, administrators must address such issues as educational philosophy, goals of education and training, governance of the combined program, the impact on faculty and trainees, and the separate institutional cultures. Experiences from the merger of the residency programs at the Institute of Living and the University of Connecticut illustrate some of the factors.

Connecticut↗
PubMed1989

Improvements of the lipoprotein profile after coronary bypass surgery: additional effects of an exercise training program.

We have followed physical working capacity and the plasma lipoprotein pattern in 37 males who underwent coronary artery surgery for severe disabling angina pectoris. In order to evaluate the effect of exercise training, 18 patients were randomized to a supervised bicycle training programme three times a week for 12 weeks starting 6 weeks after surgery. Before surgery, working capacity was severely reduced in all subjects. The mean HDL cholesterol level was low (0.8 +/- 0.2 mmol l-1) and the mean plasma LDL concentration moderately elevated (4.6 +/- 0.9 mmol l-1). In the non-training group, physical working capacity increased significantly, and 18 weeks after surgery reached a plateau about 45% above the preoperative values. In the training group, a further improvement to about 60% above preoperative levels was registered at the end of the training program. In the non-training group, HDL cholesterol concentrations rose rapidly to levels between 10 and 15% above the preoperative values. One year after surgery, HDL cholesterol levels were 20% higher than before surgery. There was a parallel rise in apolipoprotein A1 concentrations by about 10% which indicates that the increase in HDL occurred mainly in the lipid rich HDL2 subfraction. There were no changes in plasma lipids or in LDL cholesterol concentrations. In the training group, the increase in HDL was about 20% during the first 26 weeks. One year after surgery, HDL levels were 23% above preoperative values. In this group, we also registered a significant decrease in plasma triglyceride levels by about 25% after two months of exercise.(ABSTRACT TRUNCATED AT 250 WORDS)

Angina Pectoris↗
PubMed1998

Aerobic endurance training program improves exercise performance in lung transplant recipients.

STUDY OBJECTIVE: To determine whether an aerobic endurance training program (AET) in comparison to normal daily activities improves exercise capacity in lung transplant recipients. PATIENTS AND STUDY DESIGN: Nine lung transplant recipients (12+/-6 months after transplant) were examined. All patients underwent incremental bicycle ergometry with the work rate increased in increments of 20 W every 3 min. Identical exercise tests were performed after 11+/-5 weeks of normal daily activities and then after a 6-week AET. The weekly aerobic training time increased from 60 min at the beginning to 120 min during the last week. Training intensity ranged from 30 to 60% of the maximum heart rate reserve. RESULTS: Normal daily activities had no effect on exercise performance. The AET induced a significant decrease in resting minute ventilation from 14+/-5 to 11+/-3 L/min. At an identical, submaximal level of exercise, a significant decrease in minute ventilation from 47+/-14 L/min to 39+/-13 L/min and heart rate from 144+/-12 to 133+/-17 beats/min, before and after the AET, was noted. The increase in peak oxygen uptake after AET was statistically significant (1.13+/-0.32 to 1.26+/-0.27 L/min). CONCLUSIONS: These data demonstrate that normal daily activities do not affect exercise performance in lung transplant recipients > or = 6 months after lung transplantation. An AET improves submaximal and peak exercise performance significantly.

Activities of Daily Living↗
PubMed1999

Effects of an ergonomic training program on workers with video display units.

OBJECTIVES: This study evaluated the effect of an ergonomic training program on workstation changes and on the prevalence of musculoskeletal disorders among video display unit (VDU) users at a large university. METHODS: A pretest-posttest design with a reference group was used with random allocation of administrative and geographic units. In each group, the measurements involved direct observation of the workstations, a self-administered questionnaire, and a physical examination. The measurements were performed 2 weeks before and 6 months after the training in parallel in both groups. The study population was composed of 627 workers (81% of those eligible). RESULTS: The prevalence of all 3 of the postural stressors evaluated decreased in the experimental group after the training. In the reference group, 2 of the 3 stressors decreased in frequency but to a less extent. Some of these beneficial changes were more frequent in workers under 40 years of age. The prevalence of musculoskeletal disorders decreased among the workers under 40 years of age in the experimental group, from 29% to 13% determined by questionnaire and from 19% to 3% determined by physical examination. In other groups, there was no significant change in the prevalence of musculoskeletal disorders. CONCLUSIONS: Improvements in postural stressors occurred more frequently in the experimental group, and these beneficial changes tended to be more frequent in workers under 40 years of age. Improvements in musculoskeletal disorders occurred in the experimental group among the workers under 40 years of age.

Adult↗
PubMed2001

Are surgery training programs ready for virtual reality? A survey of program directors in general surgery.

BACKGROUND: The use of advanced technology, such as virtual environments and computer-based simulators (VR/CBS), in training has been well established by both industry and the military. In contrast the medical profession, including surgery, has been slow to incorporate such technology in its training. In an attempt to identify factors limiting the regular incorporation of this technology into surgical training programs, a survey was developed and distributed to all general surgery program directors in the United States. STUDY DESIGN: A 22-question survey was sent to 254 general surgery program directors. The survey was designed to reflect attitudes of the program directors regarding the use of computer-based simulation in surgical training. Questions were scaled from 1 to 5 with 1 = strongly disagree and 5 = strongly agree. RESULTS: A total of 139 responses (55%) were returned. The majority of respondents (58%) had seen VR/CBS, but only 19% had "hands-on" experience with these systems. Respondents strongly agreed that there is a need for learning opportunities outside of the operating room and a role for VR/CBS in surgical training. Respondents believed both staff and residents would support this type of training. Concerns included VR/CBS' lack of validation and potential requirements for frequent system upgrades. CONCLUSIONS: Virtual environments and computer-based simulators, although well established training tools in other fields, have not been widely incorporated into surgical education. Our results suggest that program directors believe this type of technology would be beneficial in surgical education, but they lack adequate information regarding VR/CBS. Developers of this technology may need to focus on educating potential users and addressing their concerns.

Clinical Competence↗
PubMed2004

[Postgraduate training program for neurology].

In order to establish neurology as a field of medical subspecialty in Japan, it is inevitable to make an authorized postgraduate training program and board system. It should concretely define essential levels required for clinical practice of neurology. Those who participate in the training should register to each of the authorized program. It is of great importance that we neurologists should share the concept of integrated postgraduate training system for neurology.

Education, Medical, Graduate↗
PubMed1985

The Athletic Health Care and Training Program. A comprehensive approach to the prevention and management of athletic injuries in high schools.

The Athletic Health Care and Training Program was developed to meet the educational, organizational and record-keeping needs of the interscholastic athletic program of the Seattle Public Schools. The program components were the education of coaches, school nurses and student trainers; development of a centralized training room; implementation of written procedures, and establishment of a record-keeping system. At the end of the three-year study period, schools involved in the program were better prepared to handle emergencies than were control schools. Schools involved in the program were found to have an injury-recognition rate comparable to that previously reported for high schools that had athletic trainers, a rate substantially higher than that in the control schools. The experimental schools were judged to have managed these injuries satisfactorily 95% of the time, compared with a satisfactory management rate of 14% for the control schools.

Adolescent↗
PubMed1990

Skeletal muscle limits the exercise tolerance of renal transplant recipients: effects of a graded exercise training program.

Sixteen renal transplant recipients were studied before and after they had participated in a 24-week exercise training program to determine (1) the nature of the factors explaining their impaired exercise tolerance, and (2) their adaptative responses to exercise training. During progressive treadmill exercise to exhaustion prior to training, renal transplant recipients stopped exercising at lower peak rates of oxygen consumption (VO2max) (29.0 +/- 7.8 47.9 +/- 9.1 mL O2.kg-1.min-1; P less than 0.001) and ventilation (55.9 +/- 13.2 v 124.0 +/- 22.2 L.min-1; P less than 0.0001), and at lower peak heart rates (169 +/- 22 v 196 +/- 9 beats.min-1; P less than 0.05) and peak blood lactate concentrations (5.0 +/- 2.1 v 11.5 +/- 4.0 mmol.L-1; P less than 0.001) than did controls. None showed a plateau in oxygen consumption with increasing workload. Exercise time to exhaustion was also significantly shorter in renal transplant recipients (9.5 +/- 1.8 v 16.0 +/- 1.3 min; P less than 0.0001). After training, exercise time to exhaustion (12.0 +/- 2.0 min; P less than 0.001), VO2max (37.5 +/- 4.8 mL O2.kg-1.min-1; P less than 0.05), maximum ventilation rate (68.5 +/- 14.0 L.min-1; P less than 0.05), peak blood lactate concentrations (7.8 +/- 1.8 mmol-L-1; P less than 0.001), and the rate of oxygen consumption at a blood lactate concentration of 2.0 mmol.L-1 (22.5 +/- 2.5 v 16.5 +/- 2.2 mL O2.kg-1.min-1; P less than 0.001) had all increased significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Physiological↗
PubMed1995

An AIDS training program for rural mental health providers.

A total of 194 mental health care providers in Arkansas, primarily from rural areas and small communities, participated in a four-hour training program designed to improve their knowledge about the psychosocial and neuropsychiatric aspects of HIV and AIDS. Participants' responses to questionnaires completed before and after training indicated that the program was successful in achieving its goal. However, only a minimal number of providers reported completing drug, alcohol, and sexual histories and AIDS risk assessments for any of their patients before the training occurred. The authors emphasize the importance of AIDS training for rural providers.

AIDS Dementia Complex↗
PubMed1986

Drug abuse in oral and maxillofacial training programs.

Concern about drug dependence in other medical specialties involving constant exposure to anesthetic and sedative drugs prompted a survey of oral and maxillofacial surgery programs. One hundred sixteen programs were surveyed; 78.5% responded, and 51% of the responding programs reported at least one suspected incident of drug dependence. Twenty-six confirmed cases were reported. Meperidine and fentanyl were the most frequently abused substances. Behavioral changes and information supplied by co-workers were the most frequent reasons for confrontation of residents suspected of drug abuse by superiors. Detailed follow-up information was often sketchy and unavailable. Drug abuse may be more common than usually thought in oral and maxillofacial surgery programs and on the same level as that observed in anesthesia training programs.

Anesthetics↗
PubMed1984

An independent living skills training program.

The growing rehabilitation and consumer movement toward independent community living for disabled adults has placed new demands on the health care delivery system. Programs must be developed for the disabled adult that provide direct training in adaptive community skills, such as banking, budgeting, consumer advocacy, personal health care, and attendant management. An Independent Living Skills Training Program that uses a psychoeducational model is described. To date, 17 multiply handicapped adults, whose average length of institutionalization was 11.9 years, have participated in the program. Of these 17, 58.8% returned to community living and 23.5% are waiting for openings in accessible housing units.

Activities of Daily Living↗
PubMed2002

Measuring the impact of a public health data training program.

In spring and fall of 2000, 109 community health professionals participated in "Public Health Data: Our Silent Partner," a training program developed by the Centers for Disease Control and Prevention (CDC). The two-day training was offered four times in different locations in New York State in response to local health departments and community partners identifying a need for data analysis training. Participants completed evaluations during the training, and they were surveyed within a year of completing the training. This article discusses the impact of the training and suggests ways to increase the value of the training.

Centers for Disease Control and Prevention, U.S.↗
PubMed1994

Intensive physical and psychosocial training program for patients with chronic low back pain. A controlled clinical trial.

STUDY DESIGN: The authors conducted a controlled clinical trial with 1-year follow-up to define the effectiveness of an intensive physical and psychosocial training program on patients with low back pain. SUMMARY OF BACKGROUND DATA: The intervention group included 152 patients (mean age 40.5 yr, Million index 45.1/100), and the reference group included 141 patients (mean age 40.4 yr, Million-index 44.5/100). METHODS: The progressive intervention program consisted of intensive physical training and psychosocial activation. The outcomes were physical and psychosocial measures, the pain and disability index (Million), sick leaves, and occupational handicap. RESULTS: The intervention was more efficient with respect to physical measures and pain and disability index. There were only mild or no differences in changes between the study groups in psychologic variables, sick leaves, or retirement. CONCLUSIONS: The intervention program could improve physical disability, but to improve occupational handicap, activities of the whole society (social legislation, labor market policy) are needed.

Absenteeism↗